Even areas in the UK with no 'high rise' buildings, which to be honest is most UK towns and villages outside of the town centres, the building density is usually such that it isn't possible to be more than 50m horizontally from buildings.
Although interestingly it appears to suggest you could be more than 50m above a low building and be ok provided your take off and landing site is somewhere open and 50m away from the nearest building. As 150m is greater than the height limit recommended it would seem you can't overfly crowds and built up areas in the same way.
The illustration is clear as mud and not very sensible. - P